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Україна єдина #UAРАЗОМ

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08.08.2023

Meet modern diagnostic methods - dermatoscopy, otoscopy, audiometry, biomicroscopy.

Let's start our acquaintance with such a method as dermatoscopy. Moles on the skin seem to be our peculiarity, a uniqueness that gives us charm, but in fact, they can pose a threat to our bodies. Like other skin growths, we may not even notice them. But with the help of a painless and safe dermatoscopy procedure, you can determine the nature of the formation and discuss with the doctor your further actions in this direction.

The dermatoscopy method involves non-contact diagnostics aimed at recognizing early signs of malignancy, which allows you to detect cancer or melanoma at an early stage. This is a unique feature of this diagnostic method. Unfortunately, previously, to make a diagnosis, it was necessary to remove a part of the tissue and conduct an analysis, which took a lot of time. Now, with the help of a special dermatoscopy, a doctor can determine the degree of safety of a skin lesion by such simple parameters as shape and color.

Dermatoscopy has proven to be especially effective in the case of melanoma - thanks to this method, it is possible to diagnose this dangerous disease at its early stages, and therefore the patient has a better chance of recovering relatively quickly and painlessly.

To perform dermatoscopy, the clinic of the Kharkiv Oblast TMA of the Ministry of Internal Affairs of Ukraine purchased a special device - a dermatoscopy, which is a tube with a powerful magnifying glass capable of magnifying up to 10-20 times, a transparent plate, an unpolarised light source, and a liquid gel medium.

The dermatoscopy allows the doctor to examine different layers of the skin, as well as any neoplasms, in detail and determine the presence of a disease.

The dermatoscopy procedure does not require any additional preparation, it has no contraindications and can be performed at any age, from the youngest to the most advanced age, and even for pregnant women. Therefore, we invite all our patients who need to diagnose skin neoplasms to undergo dermatoscopy in the clinic of the Department of Medical and Biological Sciences.

The arsenal of modern medical equipment in the polyclinic of the SI TMA has been replenished with such a device as an otoscope, which significantly expands the diagnostic capabilities of otolaryngologists. Otoscopy is a method of examining the external auditory canal and eardrum. If there is a perforation of the tympanic membrane, the tympanic cavity can also be seen. Otoscopy is the basis for diagnosing ear diseases. If discomfort is experienced in the ears, an otoscopy is the first step.

After taking anamnesis and complaints, the doctor can accurately establish the vast majority of otological diagnoses using otoscopy. And an accurate diagnosis is a prerequisite for successful treatment.  Under the control of otoscopy, ear cleaning, removal of foreign bodies, polyps, and granulations, as well as various operations such as paracentesis, tympanopuncture, etc. are performed. If the discomfort is related to the ears, an otoscopy is the right way to go. Otoscopy is indicated in cases of painful sensations and itching in the ears, in case of feeling that there is something in the ear, in the presence of various "rustling" and incomprehensible noises, in case of hearing problems (stuffiness or sudden deafness). Otoscopy is also an important diagnostic complement in the diagnosis of acubarotrauma, which became especially common during the war.

During the war, the number of patients with traumatic lesions of the hearing organs, including acoustic traumas, significantly increased at the polyclinic of the SI TMA. Therefore, to improve the diagnosis of diseases and injuries of the ear, the polyclinic of the SI TMA introduced audiometry, one of the methods of studying hearing acuity, that is, determining the lowest sound strength at which it is perceived by the patient. The method is based on recording the body's response to sound stimulation. The document that records the results of the examination is called an audiogram. Based on the results of audiometry, the deviation of the patient's hearing threshold from the average hearing threshold of normal hearing is determined. Audiometry methods are used not only to determine the deviation of hearing acuity from the norm but also to diagnose the causes of hearing impairment. The results of audiometry are also used for hearing prosthetics, in particular for the selection and adjustment of hearing aids.

Biomicroscopy, which has recently been introduced in the clinic of the SI TMA, significantly helps in the diagnosis of eye diseases and injuries. This method of examination with the use of a slit lamp is vital microscopy of eye tissues. Even with a highly qualified ophthalmologist, modern vision diagnostics cannot do without the latest equipment, which takes the necessary readings and makes it possible to examine all structures of the organ of vision. One of the leading places in the diagnostic process is occupied by a slit lamp.  Today, slit lamps are recognized as one of the most important tools for ophthalmologists. They allow us to conduct the most thorough examinations and accurately diagnose the condition of the anterior part of the eye: eyelids, conjunctiva, cornea, iris, pupil, and part of the lens.  If additional optical devices (lenses) are used, a slit lamp can be used to look into the corner of the anterior chamber and examine deeper parts of the eyeball, such as the vitreous and fundus.

That is, even if your eyes are just red and you go to the ophthalmologist for treatment, he or she cannot prescribe you drop without examining the condition of the anterior chamber with a slit lamp. This is the only way for the doctor to diagnose the cause of the inflammation, which will allow him to choose the right treatment. At this level of development of ophthalmology, it is simply impossible to make a proper diagnosis without biomicroscopy. Today, it's hard to imagine how ophthalmologists used to do without a slit lamp. This diagnostic method does not require any special training. The procedure takes 5-10 minutes. The method itself is non-contact, painless, and does not cause complications. Take advantage of the implemented diagnostic method in the clinic of the TMA.

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